What are the 7 ethical principles emphasized in class?
Autonomy, Nonmaleficence, Beneficence, Justice, Fidelity, Veracity
How does a nurse
... [Show More] demonstrate autonomy for a patient?
Let the patient make a choice and act on it
When a nurse follows through on a promise- no matter how big or small- what ethical principle is being displayed?
Fidelity
What is nonmaleficence?
It's like the main job of a nurse: First do no harm.
So it's a nurse using his judgement to avoid damaging the patient physically, emotionally, and spiritually.
What is beneficence?
Doing things that benefit the patient.
What is the ethical OBLIGATION to tell the truth?
Veracity
When a nurse treats all patients equally regardless of gender, age, sex, religious background, or beliefs...
Like treating everyone Equally, what is that ethical principle called?
Justice
What is negligence?
Failure to meet a pt's needs
If a nurse fails to take action can this be a form of negligence?
Yeah;
What does a patient advocate do?
Speaks up for or acts on behalf of a patient who can't do that for him/herself.
Why is it important to understand the patient's bill of rights, nursing practice act, and ANA code of ethics?
This is important to understand what is expected as a nurse (scope of practice), what is the patient can expect from being in the healthcare facility, as well as what the healthcare facility expects of the patient.
Once these guidelines are established, it becomes clear when something goes wrong and what actions to take to make it right.
(I made this up. I did this to help me understand why cuz all this crap is boring when it's out of context. It's so conceptual. It IS important stuff, though! If my answer or question are inaccurate in anyway, edit it and let me know. Love, Daniel)
What principle does a patient advocate uphold on behalf of the patient who can't speak for himself?
Principle of Fidelity-- Following through
What are examples of negligent acts?
These ALL are considered negligent acts whey they injure a patient in some way;
Med errors, Falls, failure to use sterile technique, Failure to check equipment before using it, failure to monitor client's condition/report changes in client's condition to physician, failure to give complete report to oncoming nursing staff
How is malpractice determined?
If the nurse owed a duty to the patient but did not carry it out, resulting in injury to the patient-
-- and the injury to the patient would have been prevented if the nurse did his effing job.
What is malpractice?
Negligence on the nurse's part
What is informed consent?
Letting a patient make a choice, even if the nurse doesn't believe it's in the patient's best interest.
Give the patient all the information and educate the patient about all options
What are the ways that consent can be obtained?
Informed, implied, advanced directives
What are some forms of advaned directives?
Living will, Power of Attorney, verbal, surrogate decision maker
Steps to obtain consent
1. Assess pt. mental status/decision making abilities
2. explain procedure/outcomes
--- risks vs. benefits
3. Explain alternatives
4. Have patient/guardian sign
5. Witness and sign
If a patient is cognitively impaired, who can give consent on his behalf?
POA, spouse, surrogate, Living will
If the patient is a minor, who can give consent on her behalf?
Parent, courts, guardian, guardian "ad litem"
Deontology
decisions based on obligation to duty
What are the most common malpractice claims?
Failure to assess
failure to diagnose
Failure to plan
Failure to implement
Failure to evaluate
What is advocacy?
Acting on the behalf of a patient and protecting the client's rights to make his or her own decisions
What are examples of Advanced Directives?
Power of Attorney
Living Will
DNR
Donor Registry
Enrollment Form
Medication Indications
Patient Preferences
Quality of Life
Contextual Features
Integrated Model
A client is brought to the emergency department by emergency medical services (EMS) after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which of the following is the best action?
A.) Obtain a court order order for the surgical procedure.
B.) Ask EMS team to sign the informed consent.
C.) Transport the victim to the operating room for surgery.
D.) Call the police to ID the client and locate the family
C [Show Less]